Individual
JUDY E GUNDLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2025 W OKLAHOMA AVE, SUITE 104, MILWAUKEE, WI 53215-4455
(414) 647-7678
Mailing address
2025 W OKLAHOMA AVE, SUITE 104, MILWAUKEE, WI 53215-4455
(414) 647-7678
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2209
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2209
PHYSICAL THERAPY LICENSE
WI
Enumeration date
05/22/2008
Last updated
05/22/2008
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